-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GDev3V+bF9d+sVXeIM1cP36wxNVtDbBsZy5EmwAeJsV3kUQzAHMk6EMio1DYcdgD qpVNQs7dqx2G8fzdTe1Csg== 0001012870-99-000496.txt : 19990217 0001012870-99-000496.hdr.sgml : 19990217 ACCESSION NUMBER: 0001012870-99-000496 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SYMPHONIX DEVICES INC CENTRAL INDEX KEY: 0000930481 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 770376250 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-55287 FILM NUMBER: 99540282 BUSINESS ADDRESS: STREET 1: 2331 ZANKER ROAD CITY: SAN JOSE STATE: CA ZIP: 95131-1107 BUSINESS PHONE: 408-232-0710 MAIL ADDRESS: STREET 1: 2331 ZANKER ROAD CITY: SAN JOSE STATE: CA ZIP: 95131-1107 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ROBBINS HARRY S CENTRAL INDEX KEY: 0001079158 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 2331 ZANKER RD CITY: SAN JOSE STATE: CA ZIP: 95131 BUSINESS PHONE: 4082320710 MAIL ADDRESS: STREET 1: 2331 ZANKER RD CITY: SAN JOSE STATE: CA ZIP: 95131 SC 13G 1 SCHEDULE 13G ------------------------ UNITED STATES OMB APPROVAL SECURITIES AND EXCHANGE COMMISSION ------------------------ Washington, D.C. 20549 OMB Number: 3235-0145 Expires: August 31, 1999 Estimated average burden SCHEDULE 13G hours per response 14.90 ------------------------- Under the Securities Exchange Act of 1934 (Amendment No. ______________)* Symphonix Devices, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - ------------------------------------------------------------------------------- (Title of Class of Securities) 871951 10 9 - ------------------------------------------------------------------------------- (CUSIP Number) December 31, 1998 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [x] Rule 13d-1(c) [_] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. Page 1 of 5 pages CUSIP No.......... 871951 10 9 - ------------------------------------------------------------------------------- 1. Names of Reporting Persons. Harry S. Robbins I.R.S. Identification Nos. of above persons (entities only). - ------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a)....................................................................... (b)....................................................................... - -------------------------------------------------------------------------------- 3. SEC Use Only.............................................................. - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization ................................ U.S.A. - -------------------------------------------------------------------------------- Number of 5. Sole Voting Power............................ 1,276,184 Shares Bene- ------------------------------------------------------------ ficially 6. Shared Voting Power....................................0 Owned by Each ------------------------------------------------------------ Reporting 7. Sole Dispositive Power........................ 1,276,184 Person With: ------------------------------------------------------------ 8. Shared Dispositive Power.............................. 0 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person..... 1,276,184 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)............................................................. 11. Percent of Class Represented by Amount in Row (9).......... 10.5% (based on 12,201,465 shares outstanding as of December 31, 1998) - -------------------------------------------------------------------------------- 12. Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- ................................................................................ ................................................................................ ............................................................................... ............................................................................... ............................................................................... - ------------------------------------------------------------------------------- Page 2 of 5 pages Item 1. (a) Name of Issuer Symphonix Devices, Inc. (b) Address of Issuer's Principal Executive Offices 2131 Zanker Road, San Jose, CA 95131 Item 2. (a) Name of Person Filing Harry S. Robbins (b) Address of Principal Business Office or, if none, Residence 2131 Zanker Road, San Jose, CA 95131 (c) Citizenship U.S.A. (d) Title of Class of Securities Common Stock (e) CUSIP Number 871951 10 9 Item 3. If this statement is filed pursuant to (S)(S)240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: (a) [_] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). (b) [_] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). (c) [_] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). (d) [_] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). (e) [_] An investment advisor in accordance with (S)240.13d-1(b)(1)(ii)(E); (f) [_] An employee benefit plan or endowment fund in accordance with (S)240.13d-1(b)(1)(ii)(F); (g) [_] A parent holding company or control person in accordance with (S)240.13d-1(b)(1)(ii)(G); (h) [_] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) [_] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); (j) [_] Group, in accordance with (S)240.13d-1(b)(1)(ii)(J).
N/A -- The reporting person acquired all its shares prior to the registration of the Issuer's shares pursuant to Section 12 of the Securities Exchange Act of 1934, as amended; therefore, this filing is pursuant to Rule 13d-1(c). Item 4. Ownership Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 1,276,184 (b) Percent of class: 10.5% (based on 12,201,465 shares outstanding as of December 31, 1998) (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: 1,276,184 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of 1,276,184 (iv) Shared power to dispose or to direct the disposition of 0
Page 3 of 5 pages Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [_]. Item 6. Ownership of More than Five Percent on Behalf of Another Person Not Applicable Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company Not Applicable. Item 8. Identification and Classification of Members of the Group Not Applicable Item 9. Notice of Dissolution of Group Not Applicable Page 4 of 5 pages Item 10. Certification By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set in this statement is true, complete and correct. February 12, 1999 ------------------------------------ Date /s/ Harry S. Robbins ------------------------------------ Signature Harry S. Robbins ------------------------------------ Name/Title Page 5 of 5 pages -----END PRIVACY-ENHANCED MESSAGE-----